The case marks Clermont County's third, with other cases in Crawford, Franklin, Hamilton, Marion, Morrow, Union and Warren counties, as well as a Kentucky woman who got an injection in Ohio. All are adults and none have died. Officials previously removed one woman from the list because the case no longer met the federal definition of this type of meningitis. Federal officials report more than 430 illnesses and 32 deaths in the outbreak linked to a specialty pharmacy that recalled its products. Officials say dozens of Ohio facilities received the products, while four Ohio clinics got the potentially contaminated steroids.